摘要目的 探究导乐陪伴分娩对降低剖宫产率及其他分娩结局的影响。方法 选取山东威海、烟台6家开展导乐分娩服务的医院,在2017年6月—2018年2月采用自行设计问卷收集所有符合条件的分娩数据,开展回顾性研究。根据是否使用导乐服务将所有孕妇分为导乐组和无导乐组,比较两组间剖宫产率及其他分娩结局的差异。结果 本研究共纳入1 573例产妇(导乐组n=755,无导乐组n=818)。导乐组剖宫产率和第一产程硬膜外麻醉使用率显著低于无导乐组(4.0% vs 9.3%;40.5% vs 55.3%),催产率显著高于无导乐组(20.9% vs 15.3%)。结论 导乐陪伴分娩能够降低剖宫产率以及硬膜外麻醉使用率。应倡导专业化、规范化导乐服务。
Abstract：Objective To explore the effect of doula continuous care on reducing caesarean rate and other pregnancy outcomes.Methods This retrospective study was conducted in six hospitals, where doula continuous care was provided, located in adjacent Weihai and Yantai cities in Shandong province of China. Relevant data was collected from eligible pregnant women through a self-designed questionnaire. Pregnant women were divided into doula group or non-doula group according to whether they accepted doula continuous care during delivery. The statistical differences of related outcomes between two groups were examined using T-test and Chi-square test.Results A total of 1573 pregnant women (755 in doula group and 818 in non-doula) was included in the study. As compared with women in non-doula group, those women in doula group had lower rates of caesarean section (9.3% vs 4.0%) and epidural anesthesia use in the first labor stage (55.3% vs 40.5%), but higher rate of labor induction (15.3% vs 20.9%).Conclusion Doula continuous care could significantly decrease the rates of caesarean section and epidural anesthesia use. Professional doula continuous care should be promoted.
张羽, 刘艳凤, 彭政, 钟爱明, 王为娜, 宋艳, 吴翠芳, 朱建香, 嵇秋红, 高亚莉, 宫露霞, 庞汝彦. 导乐陪伴分娩对降低剖宫产率及其他分娩结局的影响[J]. 中国生育健康杂志, 2020, 31(1): 10-14.
ZHANG Yu, LIU Yanfeng, PENG Zheng, ZHONG Aiming, WANG Weina, SONG Yan, WU Cuifang, ZHU Jianxiang, JI Qiuhong, GAO Yali, GONG Luxia, PANG Ruyan. The effect of doula continuous care on decreasing caesarean rate and other pregnancy outcomes. Chinese Journal of Reproductive Health, 2020, 31(1): 10-14.
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